Living Tree Pediatrics, Pllc
Pediatrics
Living Tree Pediatrics, Pllc is a Bentonville, Arkansas based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1110 Se 30th Street, Bentonville, Arkansas - 72712-4290. They can be contacted on phone at
479-282-2966 and fax number 479-282-2967.
NPI number (Unique professional ID) for Living Tree Pediatrics, Pllc is
1396102679 which was assigned by NPPES on 18 Jan, 2016 and it was last updated on 21 Mar, 2022.
Living Tree Pediatrics, Pllc license number is
E7529 for Pediatrics (208000000X) in Arkansas.
Living Tree Pediatrics, Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Living Tree Pediatrics, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Living Tree Pediatrics, Pllc |
|---|
Business Address:
Living Tree Pediatrics, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1110 Se 30th Street
Bentonville, AR, 72712-4290
United States |
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| Phone Number : | 479-282-2966 |
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| Fax Number : | 479-282-2967 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1396102679 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Jan, 2016 |
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| Last Updated On : | 21 Mar, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Julielynette Tate |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CO-OWNER |
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| Phone Number : | 479-282-2966 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Living Tree Pediatrics, Pllc are as mentioned. Primary taxonomy code for Living Tree Pediatrics, Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | E7529 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Living Tree Pediatrics, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 191183001 | MEDICAID | AR | |
| 192425001 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | P.o. Box 2760
Bentonville, AR, 72712-4290
United States |
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| Phone Number : | 479-282-2966 |
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| Fax Number : | 479-282-2967 |
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Business Location:
Patients can refer following map for directions to
Living Tree Pediatrics, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.